Correlates of Psychological Distress in Patients with Parkinson's Disease During the COVID-19 Outbreak.
Identifieur interne : 000517 ( Main/Exploration ); précédent : 000516; suivant : 000518Correlates of Psychological Distress in Patients with Parkinson's Disease During the COVID-19 Outbreak.
Auteurs : Rosa De Micco ; Mattia Siciliano ; Valeria Sant'Elia ; Alfonso Giordano ; Antonio Russo ; Gioacchino Tedeschi ; Alessandro TessitoreSource :
- Movement disorders clinical practice [ 2330-1619 ] ; 2021.
Abstract
Background
Following the severe consequences of the COVID-19 outbreak, on March 9, 2020, the Italian government implemented extraordinary measures to limit viral transmission, including restrictive quarantine measures. This resulted in a rapid and profound change of people's daily lives.
Objective
We assessed the psychological impact of the 40-day quarantine in a large cohort of patients with Parkinson's disease (PD) and caregivers. Moreover, we analyzed whether prelockdown clinical features may be associated with subjective response of patients with PD to this traumatic event.
Methods
A total of 94 patients with PD were enrolled in the study. The Impact of Event Scale-Revised, the Kessler Psychological Distress Scale, and the 12-item Zarit Burden Inventory were obtained from patients and caregivers by email. A multivariate regression analysis was performed to determine whether prelockdown clinical motor and nonmotor features were associated with the psychological impact of lockdown.
Results
Regression analyses showed that prelockdown levels of anxiety, treatment-related motor complications, patients' quality of life, and lockdown hours per day were significantly associated with psychological impact measures of the 40-day quarantine. In addition, we showed that caregiver burden was correlated with overall patient autonomy and attention/memory impairment.
Conclusions
We identified specific PD motor and nonmotor features potentially predisposing to higher psychological impact of stressful situations, such as quarantine. This may help guide postpandemic interventions and preventive strategies to avoid further impairment of psychological well-being in patients with PD.
DOI: 10.1002/mdc3.13108
PubMed: 33426160
PubMed Central: PMC7780948
Affiliations:
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Micco">Rosa De Micco</name><affiliation><nlm:affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Siciliano, Mattia" sort="Siciliano, Mattia" uniqKey="Siciliano M" first="Mattia" last="Siciliano">Mattia Siciliano</name><affiliation><nlm:affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Psychology University of Campania "Luigi Vanvitelli" Caserta Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Psychology University of Campania "Luigi Vanvitelli" Caserta Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Sant Elia, Valeria" sort="Sant Elia, Valeria" uniqKey="Sant Elia V" first="Valeria" last="Sant'Elia">Valeria Sant'Elia</name><affiliation><nlm:affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department of Psychology University of Campania "Luigi Vanvitelli" Caserta Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Psychology University of Campania "Luigi Vanvitelli" Caserta Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Giordano, Alfonso" sort="Giordano, Alfonso" uniqKey="Giordano A" first="Alfonso" last="Giordano">Alfonso Giordano</name><affiliation><nlm:affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Russo, Antonio" sort="Russo, Antonio" uniqKey="Russo A" first="Antonio" last="Russo">Antonio Russo</name><affiliation><nlm:affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Tedeschi, Gioacchino" sort="Tedeschi, Gioacchino" uniqKey="Tedeschi G" first="Gioacchino" last="Tedeschi">Gioacchino Tedeschi</name><affiliation><nlm:affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</wicri:noCountry></affiliation></author><author><name sortKey="Tessitore, Alessandro" sort="Tessitore, Alessandro" uniqKey="Tessitore A" first="Alessandro" last="Tessitore">Alessandro Tessitore</name><affiliation><nlm:affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</nlm:affiliation><wicri:noCountry code="no comma">Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Movement disorders clinical practice</title><idno type="eISSN">2330-1619</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Following the severe consequences of the COVID-19 outbreak, on March 9, 2020, the Italian government implemented extraordinary measures to limit viral transmission, including restrictive quarantine measures. This resulted in a rapid and profound change of people's daily lives.</p></div><div type="abstract" xml:lang="en"><p><b>Objective</b></p><p>We assessed the psychological impact of the 40-day quarantine in a large cohort of patients with Parkinson's disease (PD) and caregivers. Moreover, we analyzed whether prelockdown clinical features may be associated with subjective response of patients with PD to this traumatic event.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>A total of 94 patients with PD were enrolled in the study. The Impact of Event Scale-Revised, the Kessler Psychological Distress Scale, and the 12-item Zarit Burden Inventory were obtained from patients and caregivers by email. A multivariate regression analysis was performed to determine whether prelockdown clinical motor and nonmotor features were associated with the psychological impact of lockdown.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Regression analyses showed that prelockdown levels of anxiety, treatment-related motor complications, patients' quality of life, and lockdown hours per day were significantly associated with psychological impact measures of the 40-day quarantine. In addition, we showed that caregiver burden was correlated with overall patient autonomy and attention/memory impairment.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>We identified specific PD motor and nonmotor features potentially predisposing to higher psychological impact of stressful situations, such as quarantine. This may help guide postpandemic interventions and preventive strategies to avoid further impairment of psychological well-being in patients with PD.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33426160</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>12</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2330-1619</ISSN><JournalIssue CitedMedium="Internet"><Volume>8</Volume><Issue>1</Issue><PubDate><Year>2021</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Movement disorders clinical practice</Title><ISOAbbreviation>Mov Disord Clin Pract</ISOAbbreviation></Journal><ArticleTitle>Correlates of Psychological Distress in Patients with Parkinson's Disease During the COVID-19 Outbreak.</ArticleTitle><Pagination><MedlinePgn>60-68</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mdc3.13108</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Following the severe consequences of the COVID-19 outbreak, on March 9, 2020, the Italian government implemented extraordinary measures to limit viral transmission, including restrictive quarantine measures. This resulted in a rapid and profound change of people's daily lives.</AbstractText><AbstractText Label="Objective" NlmCategory="UNASSIGNED">We assessed the psychological impact of the 40-day quarantine in a large cohort of patients with Parkinson's disease (PD) and caregivers. Moreover, we analyzed whether prelockdown clinical features may be associated with subjective response of patients with PD to this traumatic event.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">A total of 94 patients with PD were enrolled in the study. The Impact of Event Scale-Revised, the Kessler Psychological Distress Scale, and the 12-item Zarit Burden Inventory were obtained from patients and caregivers by email. A multivariate regression analysis was performed to determine whether prelockdown clinical motor and nonmotor features were associated with the psychological impact of lockdown.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Regression analyses showed that prelockdown levels of anxiety, treatment-related motor complications, patients' quality of life, and lockdown hours per day were significantly associated with psychological impact measures of the 40-day quarantine. In addition, we showed that caregiver burden was correlated with overall patient autonomy and attention/memory impairment.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">We identified specific PD motor and nonmotor features potentially predisposing to higher psychological impact of stressful situations, such as quarantine. This may help guide postpandemic interventions and preventive strategies to avoid further impairment of psychological well-being in patients with PD.</AbstractText><CopyrightInformation>© 2020 International Parkinson and Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>De Micco</LastName><ForeName>Rosa</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Siciliano</LastName><ForeName>Mattia</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychology University of Campania "Luigi Vanvitelli" Caserta Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sant'Elia</LastName><ForeName>Valeria</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychology University of Campania "Luigi Vanvitelli" Caserta Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giordano</LastName><ForeName>Alfonso</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Russo</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tedeschi</LastName><ForeName>Gioacchino</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tessitore</LastName><ForeName>Alessandro</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Advanced Medical and Surgical Sciences University of Campania "Luigi Vanvitelli" Naples Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord Clin Pract</MedlineTA><NlmUniqueID>101630279</NlmUniqueID><ISSNLinking>2330-1619</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID‐19</Keyword><Keyword MajorTopicYN="N">Parkinson's disease</Keyword><Keyword MajorTopicYN="N">anxiety</Keyword><Keyword MajorTopicYN="N">quality of life</Keyword><Keyword MajorTopicYN="N">stress</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>09</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>10</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pmc-release"><Year>2021</Year><Month>11</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>11</Day><Hour>5</Hour><Minute>43</Minute></PubMedPubDate><PubMedPubDate 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sortKey="Sant Elia, Valeria" sort="Sant Elia, Valeria" uniqKey="Sant Elia V" first="Valeria" last="Sant'Elia">Valeria Sant'Elia</name><name sortKey="Siciliano, Mattia" sort="Siciliano, Mattia" uniqKey="Siciliano M" first="Mattia" last="Siciliano">Mattia Siciliano</name><name sortKey="Tedeschi, Gioacchino" sort="Tedeschi, Gioacchino" uniqKey="Tedeschi G" first="Gioacchino" last="Tedeschi">Gioacchino Tedeschi</name><name sortKey="Tessitore, Alessandro" sort="Tessitore, Alessandro" uniqKey="Tessitore A" first="Alessandro" last="Tessitore">Alessandro Tessitore</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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